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[Federal Register: March 12, 2010 (Volume 75, Number 48)]
[Notices]               
[Page 11890-11892]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12mr10-70]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-2744, CMS-10304 and CMS-10282]

 
Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services.
    In compliance with the requirement of section 3506(c)(2)(A) of the

[[Page 11891]]

Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this burden 
estimate or any other aspect of this collection of information, 
including any of the following subjects: (1) The necessity and utility 
of the proposed information collection for the proper performance of 
the Agency's function; (2) the accuracy of the estimated burden; (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.
    1. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: End Stage Renal Disease (ESRD) Medical Information Facility 
Survey; Form Number: CMS-2744 (OMB: 0938-0447); Use: The End 
Stage Renal Disease (ESRD) Medical Information Facility Survey form 
(CMS-2744) is completed annually by Medicare-approved providers of 
dialysis and transplant services. The CMS-2744 is designed to collect 
information concerning treatment trends, utilization of services and 
patterns of practice in treating ESRD patients. The information is used 
to assess and evaluate the local, regional and national levels of 
medical and social impact of ESRD care and is used extensively by 
researchers and suppliers of services for trend analysis. The 
information is available on the CMS Dialysis Facility Compare Web site 
and will enable patients to make informed decisions about their care by 
comparing dialysis facilities in their area. Frequency: Yearly; 
Affected Public: Business or other for-profit, not-for-profit 
institutions; Number of Respondents: 5,465; Total Annual Responses: 
5,465; Total Annual Hours: 43,720. (For policy questions regarding this 
collection contact Connie Cole at 410-786-0257. For all other issues 
call 410-786-1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Information Collection Requirements and 
Supporting Information for Chronic Kidney Disease Surveys under the 9th 
Scope of Work; Form Number: CMS-10304 (OMB: 0938-New); Use: 
The Centers for Medicare & Medicaid Services (CMS) and the U.S. 
Department of Health and Human Services (DHHS) are requesting OMB 
clearance for the Chronic Kidney Disease (CKD) Partner Survey and the 
Chronic Kidney Disease (CKD) Provider Survey. The Prevention CKD Theme 
is a component of the Prevention Theme of the Quality Improvement 
Organization (QIO) Program's 9th Scope of Work (SOW). The statutory 
authority for this scope of work is found in Part B of Title XI of the 
Social Security Act (the Act) as amended by the Peer Review Improvement 
Act of 1982. The Act established the Utilization and Quality Control 
Peer Review Organization Program, now known as the Quality Improvement 
Organization (QIO) Program.
    The goal of the Prevention CKD Theme is to detect the incidence, 
decrease the progression of CKD, and improve care among Medicare 
beneficiaries through provider adoption of timely and effective quality 
of care interventions; participation in quality incentive initiatives; 
beneficiary education; and key linkages and collaborations for system 
change at the state and local level. In addition to improving the 
quality of care for the elderly and frail-elderly, this Theme aims to 
reduce the rate of Medicare entitlement by disability through the delay 
and prevention of end-stage renal disease (ESRD); thus resulting in 
higher quality care and significant savings to the Medicare Trust Fund.
    The CKD Partner Survey constitutes a new information collection to 
be used by CMS to obtain information on how QIO collaboration with 
partners facilitates systems change within the QIO's respective state. 
The CKD Partner Survey will be a census administered to 350 
collaborative partners in the 9th SOW. The CKD Partner Survey will be 
administered via telephone. Responses will be entered into a pre-
programmed Computer-Assisted Telephone Interviewing (CATI) interface. 
The results of the survey shall be used for inpatient quality 
indicators (IQI) by the QIO. CMS will also use the results to assess 
how partner organizations and their perspective of the QIO's role are 
implementing system change.
    Similarly, the CKD Provider Survey constitutes a new information 
collection to be used by CMS to obtain information on how QIO 
collaboration with physician practices facilitates systems change 
within the QIO's respective state. The CKD Provider Survey will be 
administered via telephone and the Web. Responses collected by phone 
will be entered into a pre-programmed Computer-Assisted Telephone 
Interviewing (CATI) interface. Responses collected by Web will be 
housed on a secure server and database. The results of the survey shall 
be used for inpatient quality indicators (IQI) by the QIO. CMS will 
also use the results to assess how physicians' practices and their 
perspective of the QIO's role are implementing system change. 
Frequency: Yearly; Affected Public: Private Sector--business or other 
for-profits and not-for profit institutions; Number of Respondents: 
1,350; Total Annual Responses: 1,350; Total Annual Hours: 337.5. (For 
policy questions regarding this collection contact Robert Kambic at 
410-786-1515. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Conditions of Participation for Comprehensive 
Outpatient Rehabilitation Facilities (CORFs) and supporting regulations 
in 485.50, 485.51, 485.54, 485.56, 485.58, 485.60, 485.62, 485.64, 
485.66, 485.70, and 485.74.; Form Number: CMS-10282 (OMB: 
0938-New); Use: The Conditions of Participation (CoPs) and accompanying 
requirements specified in the regulations are used by our surveyors as 
a basis for determining whether a comprehensive outpatient 
rehabilitation facility (CORF) qualifies to be awarded a Medicare 
provider agreement. CMS believes the health care industry practice 
demonstrates that the patient clinical records and general content of 
records are necessary to ensure the well-being and safety of patients 
and that professional treatment and accountability are a normal part of 
industry practice. Frequency: Yearly; Affected Public: Business or 
other for-profit, not-for-profit institutions; Number of Respondents: 
446; Total Annual Responses: 446; Total Annual Hours: 30,105. (For 
policy questions regarding this collection contact Monique Howard 410-
786-3869. For all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or 
E-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the 
Reports Clearance Office on (410) 786-1326.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received by the OMB desk 
officer at the address below, no later than 5 p.m. on April 12, 2010:
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk

[[Page 11892]]

Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: March 8, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-5428 Filed 3-11-10; 8:45 am]
BILLING CODE 4120-01-P
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